Evidence map›Paper›PMID 29402222›Full record

ArticleBMC genomics2018

Large-scale genomic analysis shows association between homoplastic genetic variation in Mycobacterium tuberculosis genes and meningeal or pulmonary tuberculosis.

Carolien Ruesen, Lidya Chaidir, Arjan van Laarhoven, Sofiati Dian, Ahmad Rizal Ganiem, Hanna Nebenzahl-Guimaraes, Martijn A Huynen, Bachti Alisjahbana, Bas E Dutilh, Reinout van Crevel

Open access · goldAbstract read
In one paragraph

Article in BMC genomics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Lineage-associated small inversions disruptMicrobiology spectrum · 2026
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  3. Host- and pathogen-related determinants of pulmonaryEuropean respiratory review : an official journal of the European Respiratory Society · 2026
    Review
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  5. Review
  6. Article
  7. Article
  8. Pangenome Reconstruction ofMicroorganisms · 2023
    Article
  9. Distribution and origins ofMicrobial genomics · 2023
    Article
  10. Article
  11. Distribution ofTropical medicine and infectious disease · 2022
    Article
  12. Article
  13. Article
  14. Genome-wide analysis inMicrobial genomics · 2021
    Article
  15. Article
  16. Review
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 3 countries.

Carolien RuesenDepartment of Internal Medicine, Radboud university medical center, Nijmegen, The Netherlands.
Lidya ChaidirHealth Research Unit, Faculty of Medicine, Padjadjaran University/Hasan Sadikin Hospital, Bandung, Indonesia.
Arjan van LaarhovenDepartment of Internal Medicine, Radboud university medical center, Nijmegen, The Netherlands.
Sofiati DianDepartment of Neurology, Faculty of Medicine, Padjadjaran University/Hasan Sadikin Hospital, Bandung, Indonesia.
Ahmad Rizal GaniemDepartment of Neurology, Faculty of Medicine, Padjadjaran University/Hasan Sadikin Hospital, Bandung, Indonesia.
Hanna Nebenzahl-GuimaraesNational Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
Martijn A HuynenCentre for Molecular and Biomolecular Informatics, Radboud university medical center, Nijmegen, The Netherlands.
Bachti AlisjahbanaHealth Research Unit, Faculty of Medicine, Padjadjaran University/Hasan Sadikin Hospital, Bandung, Indonesia.
Bas E DutilhCentre for Molecular and Biomolecular Informatics, Radboud university medical center, Nijmegen, The Netherlands.
Reinout van CrevelDepartment of Internal Medicine, Radboud university medical center, Nijmegen, The Netherlands. Reinout.vancrevel@radboudumc.nl.
Radboud University Nijmegen · NLDr. Hasan Sadikin General Hospital · IDPadjadjaran University · IDUniversity of Minho · PT

Funding

Koninklijke Nederlandse Akademie van Wetenschappen 09-PD-14ZonMw 017.106.310ZonMw 864.14.004
6 · The paper itself

Abstract

backgroundMeningitis is the most severe manifestation of tuberculosis. It is largely unknown why some people develop pulmonary TB (PTB) and others TB meningitis (TBM); we examined if the genetic background of infecting M. tuberculosis strains may be relevant.

methodsWe whole-genome sequenced M. tuberculosis strains isolated from 322 HIV-negative tuberculosis patients from Indonesia and compared isolates from patients with TBM (n = 106) and PTB (n = 216). Using a phylogeny-adjusted genome-wide association method to count homoplasy events we examined phenotype-related changes at specific loci or genes in parallel branches of the phylogenetic tree. Enrichment scores for the TB phenotype were calculated on single nucleotide polymorphism (SNP), gene, and pathway level. Genetic associations were validated in an independent set of isolates.

resultsStrains belonged to the East-Asian lineage (36.0%), Euro-American lineage (61.5%), and Indo-Oceanic lineage (2.5%). We found no association between lineage and phenotype (Chi-square = 4.556; p = 0.207). Large genomic differences were observed between isolates; the minimum pairwise genetic distance varied from 17 to 689 SNPs. Using the phylogenetic tree, based on 28,544 common variable positions, we selected 54 TBM and 54 PTB isolates in terminal branch sets with distinct phenotypes. Genetic variation in Rv0218, and absence of Rv3343c, and nanK were significantly associated with disease phenotype in these terminal branch sets, and confirmed in the validation set of 214 unpaired isolates.

conclusionsUsing homoplasy counting we identified genetic variation in three separate genes to be associated with the TB phenotype, including one (Rv0218) which encodes a secreted protein that could play a role in host-pathogen interaction by altering pathogen recognition or acting as virulence effector.

Indexed as

Genes, BacterialGenetic VariationGenome, BacterialComputational BiologyGenomicsHumansIndonesiaMycobacterium tuberculosisPhenotypePhylogenyPolymorphism, Single NucleotideTuberculosis, MeningealTuberculosis, PulmonaryHomoplasyPulmonary tuberculosisTuberculous meningitisWhole genome sequencing

Identifiers

PMID29402222
PMCPMC5800017
OpenAlexW2789695063

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.